Re: Learning Thread: Med/Surg

steve great post and real.. this is a good reason why we need to educate our pt about the hormoes in our body that help us recover but as a resulf of that increase the sugar level way up. thanks for posting

Re: Learning Thread: Med/Surg

Wow I can't believe this post didn't continue, well here is another.
When taking a pts pulse ox, and it shows a 98% saturation but patient looks blue what do you thing this means?

Re: Learning Thread: Med/Surg

carbon monoxide posioning.

Re: Learning Thread: Med/Surg

you are correct! When carbon monoxide attaches to the Hgb molecule the pulse ox still pics it up as if the oxygen molecules are the ones attached to the Hgh molecule. Do you have a question to post?

Re: Learning Thread: Med/Surg

I hope this ? is appropriate for this thread. I am a 2-year LPN, 6-month Med-surg nurse with nothing but ?'s.

When patients are on MRSA/VRE restrictions, do you (personally) always gown up, glove up, mask up??? Are there exceptions? WHY?

Re: Learning Thread: Med/Surg

Originally Posted by Drysolong

I hope this ? is appropriate for this thread. I am a 2-year LPN, 6-month Med-surg nurse with nothing but ?'s.

When patients are on MRSA/VRE restrictions, do you (personally) always gown up, glove up, mask up??? Are there exceptions? WHY?

In my facility, we don't mask up unless they are coughing. Typically it's either an old MRSA/VRE that they are still testing postive for, or it's in a wound. I personally take it much more seriously if it's in a would than if it's in the nares.

Re: Learning Thread: Med/Surg

Originally Posted by Drysolong

I hope this ? is appropriate for this thread. I am a 2-year LPN, 6-month Med-surg nurse with nothing but ?'s.

When patients are on MRSA/VRE restrictions, do you (personally) always gown up, glove up, mask up??? Are there exceptions? WHY?

We are expected to do so no matter what and no matter where the infection is. If it's in a wound that is covered, and I'm going in just to pass meds, I am expected to wear full PPE. I actually had a CNA tell on me the other day for not doing so!

Of course I wear full PPE when coming in close contact with any "contact" isolation patient, but I still fail to see the point when passing meds and NOT coming in close proximity with the patient. I love this idea that the door-way is some sort of magical barrier...

Re: Learning Thread: Med/Surg

With regard to Homan's sign, we were taught never to perform once a positve diagnosis of thrombosis is made but it could be done prior to positive diagnosis. I am current student in med surg section of my program and our text states homan's sign should not be done post positive diagnosis for thrombosis but mentions nothing else. Thanks for the info

Re: Learning Thread: Med/Surg

Originally Posted by RN28MD

ok here is one.

If you suspect your pt has DVT in his/her calf muscle do you do the Homan's sign or not???

No - b/c Homan's sign isn't a reliable way to diagnose DVT. Plus if it was a DVT could you actually turn it into an embolus by dorsiflexing the foot?

Re: Learning Thread: Med/Surg

wow, this is a great thread...hopefully, other knowledgeable med-surg RNs can post more, to help the new ones like me.

any more inputs?